Individual provider Active NPI

Paige Sanchez

  • Behavior Analyst
  • Tyler, TX
National Provider Identifier
1710503479
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2201 Issued in TX
Practice address
1710 W Front St
Tyler, TX 75702-6823
Phone
(903) 592-2548
NPI assigned
Jun 18, 2020
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB304413 TX
Behavior Analyst 103K00000X 2025-027 AL
Behavior Analyst 103K00000X 251025 MS
Behavior Analyst 103K00000X 2201 TX Primary

Addresses

Primary practice location

1710 W Front St
Tyler, TX 75702-6823

Mailing address

11120 County Road 417
Tyler, TX 75704-4040

Other practice location 1

17610 County Road 46
Tyler, TX 75704-3636
Phone (903) 592-2548

Other identifiers 1

IdentifierTypeStateIssuer
000000OtherTX---

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL paige.emilee@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2025-027ALMDBehavioral Analyst
251025MSMDBehavioral Analyst
BACB304413TXMDBehavioral Analyst
2201TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Junior Boom ABA LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1710503479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 COUNTY ROAD 417",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757044040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W FRONT ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026823",
            "telephone_number": "903-592-2548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17610 County Road 46",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757043636",
            "country_code": "US",
            "telephone_number": "903-592-2548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "BACB304413",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2025-027",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MS",
            "license": "251025",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "---",
            "identifier": "000000",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "paige.emilee@gmail.com",
            "affiliation": "N",
            "address_1": "17610 County Road 46",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757043636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.